Health‌‌and‌‌Safety:‌‌Job‌‌Orientation‌‌Assignment‌ ‌
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NAME:‌‌_____________________________________________‌ ‌
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Due‌‌Date:‌‌__________________________________‌ ‌
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Please‌‌read‌‌the‌‌entire‌‌assignment,‌‌there‌‌are‌‌two‌‌parts:‌‌first‌‌part‌‌
is‌‌Safety‌‌at‌‌the‌‌Placement,‌‌second‌‌part‌‌Personal‌‌Reflection.‌ ‌
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Evaluation:‌ Pre-employment‌
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Job‌‌Orientation‌‌ASSIGNMENT‌‌ ‌
Cooperative‌‌Education‌‌Department‌ ‌
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This‌‌questionnaire‌‌is‌‌to‌‌be‌‌completed‌‌in‌‌its‌‌entirety.‌ ‌It‌‌will‌‌require‌‌the‌‌assistance‌‌
of‌‌your‌‌supervisor,‌‌the‌‌Health‌‌and‌‌Safety‌‌representative‌‌or‌‌another‌‌co-worker.‌ ‌
This‌‌assignment‌‌will‌‌be‌‌evaluated.‌ ‌
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Write‌‌down‌‌the‌‌name‌‌or‌‌names‌‌of‌‌the‌‌people‌‌you‌‌consulted‌‌with‌‌to‌‌complete‌‌this‌‌
questionnaire:‌‌ ‌
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PART‌‌1:‌ ‌Safety‌‌at‌‌the‌‌Placement‌ ‌
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1. List‌3
‌ ‌‌health‌‌and‌‌safety‌‌rules‌‌or‌‌policies‌‌that‌‌I‌‌should‌‌know‌‌to‌‌do‌‌my‌‌job‌‌
safely?‌ ‌(3‌‌marks)‌‌ ‌
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2. Who‌‌would‌‌I‌‌contact‌‌if‌‌I‌‌had‌‌a‌‌health‌‌and‌‌safety‌‌question‌‌at‌‌my‌‌
cooperative‌‌education‌‌placement?‌‌(2‌‌marks)‌‌ ‌
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Health‌‌and‌‌Safety:‌‌Job‌‌Orientation‌‌Assignment‌ ‌
3. What‌‌are‌‌the‌‌potential‌‌hazards‌‌of‌‌this‌‌co-operative‌‌education‌‌placement‌‌in‌‌
this‌‌workplace?‌ ‌(i.e.‌‌noise‌‌level,‌‌chemicals,‌‌etc.‌u
‌ se‌‌information‌‌from‌‌
Young‌‌Awareness‌‌Booklet‌)‌‌Identify‌‌2‌‌hazards‌‌and‌‌explain.‌‌(2‌‌marks‌‌
each‌‌=‌‌4‌‌marks)‌ ‌
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4. What‌‌Health‌‌and‌‌Safety‌‌training‌‌will‌‌your‌‌employer‌‌provide‌‌and‌‌when?‌‌(2‌‌
marks)‌ ‌
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5.‌ ‌Will‌‌I‌‌receive‌‌WHMIS‌‌training?‌ ‌If‌‌yes,‌‌when?‌ (1‌‌mark)‌ ‌
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6.‌ What‌‌PPE‌‌(personal‌‌protective‌‌equipment)‌‌am‌‌I‌‌expected‌‌to‌‌wear?‌ ‌(2‌‌
marks)‌ ‌ ‌
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7.‌ ‌Where‌‌are‌‌the‌‌following‌‌pieces‌‌of‌‌emergency‌‌equipment‌‌located‌‌at‌‌your‌‌
cooperative‌‌education‌‌placement:‌‌(2‌‌marks‌‌each‌‌=‌‌6‌‌marks)‌
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Health‌‌and‌‌Safety:‌‌Job‌‌Orientation‌‌Assignment‌ ‌
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8.‌ ‌What‌‌is‌‌the‌‌procedure‌‌to‌‌follow‌‌if‌‌there‌‌is‌‌a‌‌fire‌‌or‌‌other‌‌emergency?‌
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9.‌ ‌Who‌‌is‌‌trained‌‌in‌‌first‌‌aid,‌‌CPR,‌‌etc.‌‌in‌‌my‌‌work‌‌area?‌‌(2‌‌marks)‌ ‌
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PART‌‌II‌ ‌Personal‌‌Reflection‌ ‌
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A.‌ State‌‌‌three‌t‌ypes‌‌of‌‌accidents‌‌that‌‌could‌‌happen‌‌at‌‌your‌‌co-op‌‌placement.‌ ‌
(1‌‌mark‌‌each‌‌=‌‌3‌‌marks)‌ ‌ ‌
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B.‌Referring‌‌to‌‌the‌‌previous‌‌question,‌‌state‌t‌ wo‌‌‌reasons‌‌why‌‌these‌‌accidents‌‌
may‌‌happen.‌‌(1‌‌mark‌‌each‌‌=‌‌2‌‌marks)‌ ‌
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C.‌ List‌t‌ hree‌‌‌safety‌‌points‌‌to‌‌keep‌‌in‌‌mind‌‌at‌y
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‌(1‌‌mark‌‌each‌‌=‌‌3‌‌marks)‌ ‌
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Health‌‌and‌‌Safety:‌‌Job‌‌Orientation‌‌Assignment‌ ‌
D.‌ What‌‌precautions‌‌(i.e.‌‌PPE,‌‌proper‌‌chair,‌‌etc.)‌‌are‌‌you‌‌taking‌‌to‌‌ensure‌‌
your‌‌personal‌‌safety‌‌at‌‌the‌‌co-op‌‌placement?‌‌(1‌‌mark‌‌each‌‌=‌‌3‌‌marks)‌
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